Organization
PROMISED LAND WOMEN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAPMAN CHAPMAN (PRESIDENT/CEO)
(404) 230-5622
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE, 1615, ATLANTA, GA 30308-2208
(404) 230-5622
Mailing address
550 PEACHTREE ST NE, 1615, ATLANTA, GA 30308-2208
(404) 230-5622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
046380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000812006W
—
GA
Enumeration date
02/23/2012
Last updated
02/23/2012
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